Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2025-07-01
- Stop
- 2025-07-01
The parties
- Patient
- patient Nicholas Ricky Legros
- Provider
- provider Evalyn Torphy
- Care site
- care site ALLIANCE HHC & NURSING SERVICE
Record id
1d3c9575-6efd-7d7f-6289-2dbfc7a0ecd7